Clinical Issue of Patient Handover - Essay Example

PATIENT HANDOVER Affiliation The purpose of this article is critically to review two research articles on patient handover. It gives a summary of the research results of the literature review, and finally a strategy for change and how such changes can be integrated into nursing practice. The analysis includes the arguments provided by the peer reviews of the research articles and comparison of facts with related studies. The two items under review are Thomas, M. (2000). A guide for safe clinical patients handover tools. Adelaide: South Australian Department of Health. And Popovici, I. (2007). Patient-Centered Perspectives on Communication and Handover between the Emergency Department and General Internal Medicine. Thomas, M. (2000). A guide for safe clinical patients’ handover tools. Adelaide: South Australian Department of Health. Introduction At the end of the introduction, the author is trying to tell us that errors in caregiving can have side effects. The methods used are listed in a separate section as follow up questions, where they are exposed importantly. The method of focus groups is compatible with the naturalistic paradigm of qualitative research. The research direction is used, though not mentioned in the introduction. It would be justified to assume a lack of flow in the research in connection with the absence of such necessary information in a research paper. Research question: The research addresses the following questions: What are the procedures for patients hand over? Who is responsible for the recording and paperwork of the process? How private is the handed over information about the patient? Are there legal practices that are observed? Research approach In the introduction to the literature review, the author shows that previous studies have shown that the reduction of staff may increase the adverse effects for the patient. The topics include personnel expenses, the food, the risk of malnutrition, the benefits of walking and problems after discharge. Items and results are described and presented in a logical and organized manner. The results that were missing in the questions follow the framework of the education and training Studies. There are no items included as a visual aid to complete the research findings. The materials used are mainly nursing journals and other primary sources. Numerous topics including creation of a stable framework for this study. A research gap was identified for nursing as a career field. The author shows the need for further studies in this area. Sampling The data collection procedures are clearly indicated in the section on the data analysis, and other researchers could easily replicate it. Topics and results are described and presented in a logical and organized manner. The results that were missing in the questions follows the framework of the education and training Studies. There are no items included as a visual aid to complete the research findings. Registration procedures are also evaluated and are sufficient for this type of study. Indirect entry into the study, there is no need, personal feelings or prejudices are. It is not mentioned, who led the group. To improve the validity of the data parts was analyzed independently by two researchers. From what the researchers described in this section, the researchers used the data with caution, to avoid including subjects that are not expressed in the group. Such includes criteria for the data on which the analysis was performed. Data Collection The author said that he used the land theory approach. He states "the empirical data is classified thematically by induction." Analysis of alternative topics, including the patient handover procedures is then described. Data Analysis The results of the study are identified and discussed in this section. The quotes in the focus groups support the topic. Themes and outcomes are described and presented in a logical and organized manner. The results that were missing in the questions follows the framework of the education and training Studies. There are no items included a visual aid to complete the research findings. Researcher’s Conclusion In the conclusions section, there were failures in aspects of care and nursing, and the reasons for these failures are not treated. The focus group identifies the objects that have been previously mentioned in the research, but is omitted in this section. The sources of risk are described omissions validation. The results of the caregivers who have completed the necessary requirements will be discussed. It is the use of the search sources, which are not employed in the list of references. The results are readily transferable to other hospitals, and the authors refer to the discussion. The article goes on the use of nurse Attention to detail. This topic could be the start of the alternative project. Perhaps it would have been ignored because there is no reason that nurses did not have to worry a health risk without these interventions. Implications / recommendations The results are discussed, and the researchers explain how the results are important for nurses and director of the unit and how they need to pay on the amount of liability to the nursing profession. The author expresses questions that remain unanswered to opportunities for future research on this particular topic. Other aspects of the study are reliance and improved. Assessment of evidence The report was well written and organized. Maybe other situations could be included to enrich the descriptions. After reading the article, researchers can tell colleagues when the sources are credible. You can the choice of methods, data analysis, and presentation of the object to be used to analyze whether the job seeker is commendable. I think the results are reliable. The reasons for the lack of care seems reasonable and in line with the reasons why, sometimes medical units be accused of negligence. Method of collecting data from interviews seems particularly reliable, with the exception of participants’ storage of information, as I explained. The collected data can be provided by the hospital management available data to decisions about the nurse-patient relationship to make, and provide excellent care to their patients. The author explains other questions that remain unanswered for future research on patient treatment and recovery. Ethical considerations Limited periods of patient handover and prospects in particular, lack sufficient knowledge about the benefits of the question. In addition, the ill health of newborns has also shown a lack of patient handover, which leads to a problem in nursing. As such, exploration of the problem seems to evaluate the factors that cause such problems. According to Kennedy (2009, p. 87), the transmission is a necessary part of care is important if the continuity of the nursing staff and aim to improve transmission efficiency. It is also important to convey the essential information for sliding in the next stage. The transfer should be a fundamental communication process examines the attention. Many studies show that the transfer will not affect the provision of care for the next train (Thurgood 2005, p. 72). Kerr (2002) reported that nursing plays a role in the care of patients in line. The communication that occurs during the delivery is required for patients to monitor the activity and obtain long-term care (Sherlock 2005, p. 56). However, sometimes the information is given for the transfer does not help, the nurse, the provision of health services to the patient. Webster (2009, p. 60) has reported receiving the transfer of information provides nurses with little attention to maintenance details or effectiveness of the care patients. Webster (2009, p. 68) further states that the transfer is not more often than an opportunity for nurses to provide patients is clean and well presented. In this study, different types of transmission methods have been tested, and the results showed that the critical data is lost during lactation. Article Popovici, I. (2007, p. 45). Patient-Centered Perspectives on Communication and Handover between the Emergency Department and General Internal Medicine. Background The rationale for the choice of the literature search was gaps in the practice of navigation are used in nursing practice and identified the lack of a clear framework and structure for the delivery of patient care. The process of transferring my nursing practice varies about and how it is delivered, traditionally in a staff position for people inside and outside the courtroom instead of causing unrest used and at other times at the bedside, in the center, a structured process of transferring or between nurses and relevant information they need to know about lost treated patients. Kerr (2002) reported that when a formal transfer process quality health care funded and nurses have knowledge of the patient. Glen (2008) discusses the importance of a formal transfer process shows that improving the quality of care. Research question The research addresses the following questions: What is the standard measure for priority of treatment? Who is responsible for the recording and paperwork of the process? How private is the handed over information about the patient? Are there legal practices that are observed? Research Approach The following databases Ovid MEDLINE, CINAHL, EMBASE and the index of British aid were used to search for products that were relevant. The following keywords, the transfer of the night nurse care communication transmission with verbal birth of the patient. The research is not particularly limited to a country or territory of practice. Ovid was recorded and identified five elements only four points were relevant; (McKenna, 2007; Greaves 2009 Timonen, 2009; Sherlock, 2005). 2 articles viewed transfer of experience in the night and the other two elements have investigated the efficacy of administering to the patient. Facts CINAHL databases identified three components (Currie, 2002; Fenton, 2006; Cahill, 2008) 1 item looking perceptions that eight and 2 of the Statute of options available to try to improve the delivery of health services. Data Collection The study is a longitudinal study, which made the use of interviews. The first meeting focused on the face-to-face while the second consisted of telephone interviews over a period of five months. Such was necessary to evaluate the effectiveness of educational services. Such was that it provided a result that is more representative than the produced by the use of a sample necessary convenience. In other words, there would be more light on whether the rate of caregivers and term success, not in the group formed, have to shed been underestimated due to the small sample size. Data Analysis The available current research may not be much, but it shows the support of the vast amount of anecdotal evidence that says the transfer of care at night is an effective way to transfer method. The literature indicates that there are advantages in performing fast delivery, suggests that transmission of the evening helps to build relationships between nurses and patients and increases patient satisfaction. Literature headrest transmission; Nurse patients to avoid stereotypes and prevents them from giving a negative attitude (Parker et al., 2002), so it is crucial that other nurses comment. All forms of care, head transmission is the most efficient method in time (Webster, 2009) that encourages the participation of patients. Practice for reasons of consistency of the changes in the transmission process in the current transfer operation field. There must be a fixed time after the birth be to ensure that nurses spend the same information with the same team members. There are encouraging nurses to use the transfer of the night as a care-transfer process. This change will be in the space to check a plurality of layers, which is carried out by members of the team in the afternoon. Sampling The literature search revealed that different types of recorded broadcast of the supply and three themes emerged from it, the transmission of the night, verbal delivery (Transfer Agent based) and the provision of the tape and fast delivery is the most popular. Tests for the most efficient method of delivery is small, but the review of the literature identified that influence transfer nurses care for the patient, but still not the best way to demonstrate to transfer care. Overnight care is not a new phenomenon; it is a strategy that is patient-centered care (Rutherford and Greiner, 2004) can be improved. Proponents of the night, offering night nurses, transfer of rights to focus on the custody of the patient, as they involve patients, who in turn help the patient get a better idea of the medical problems. Immediately deliver the many problems with the traditional use delivery to the desktop (Greaves 2009, p. 67) or night transfer solution. Greaves states that the transfer of the evening more emphasis on the care of individual patients. Girvin reported that evening reporting allows nurses to begin to gain required a number to a better understanding of patient care. Patients may your health to discuss and found to improve the consistency of patient care (Greaves 2009, p. 69) problems. Parker et al. (2002, p. 45) A pilot study of 12 deliveries, noting that the transfer of the evening was the occasion to assist in the nursing staff and gain the solidarity of the group. Chaboyer (2008) show, conducted research on the transmission of the night, and the results show that the transmission of the header improves the quality of patient care. The Chaboyer study showed that the transfer of the head of patient safety, improve for example, showed that nurses to observe in the situation are things like drugs unsigned or anomalies in the first observations of the patient. All these things can in a trash sales office. Results McMahon stated that the transfer order not to focus on the evaluation and treatment, and delivery often participants the opportunity to participate in the process. Sherlock argues that the transfer agency obsolete psychosocial aspects of patient care how information passes from one layer to another and irrelevant. Point the starting point to not put the perspective of the patient (Paybe 2000, p .34) criticized the transfer. Discount company is often long; This reduces the time for direct patient care costs with some lasted 50 minutes deliveries This is due to irrelevant information during transmission (Matthews, 2008, p. 38), because divided. Cahill considers the introduction of a transfer of the night as an improved version of the hierarchical office work and time. For a better communication with the patient and the nurse a sense of cooperation, this is by Watkins (2003, p. 56), who reported that next day delivery is more efficient in terms of time and less time taken reached last chat in the office. Kassean and Jagoo (2005, p.77) implemented the change based on overnight delivery office supply and change assessment showed that the new funding system works and shown that to improve patient care. With long transfers reduce the amount of time in direct contact with the patient (Currie 2000, p. 87) spent time. Shorter transfers can reduce information overload and information with accuracy and precision (Prouse 2005, p.34). Critical next day delivery, however, argue that the risk of patient confidentiality and other older people can hear what a particular patient (McMahon 2000, p. 23), said. Discussed Williams relates to listening to other patients the transmission of the header of the condition of his patient. Cahill conducted a study on the perception of the tip of the delivery of the patient and the study showed that most patients do not care transfer process is. However, (Greaves 2009, p. 92) conducted a similar study and the results appear from with Cahill (2009). Greaves (2009), who wanted to study the patients to participate in their care. Study of patients views on the delivery Timonen et al. The study showed that the transfer of the Night patients encouraged participating in their care as they. The opportunity to ask questions that are added during the transfer to his sisters Recommendations Verification tools are standard tools used to assess this and the concept of testing and evaluation of the quality issue in practice and the same tool is used for use in the middle of the proposed amendment. Not recommended If quality problems in practice, it is likely that the executives for self-expandable patient and professional image. In this context, a nurse came to live (change agent) to discuss the current situation and the future desired goal of all caregivers with the transfer of the night as a process. Conclusions As suggested by Rolland, change is needed for the implementation of the change, as a catalyst for change and the agent as such requires unique properties (ability to listen, to create and maintain relationships with employees comfortable and be aware of personal strengths and weaknesses), the change agent should be someone with authority and leadership. Carl Levin refers to the three stages of change: the thaw and re-freeze movement, the two terms as the driving forces and constraints identified based view also provides a framework for the analysis of the field strength to solve problems and change (J Lancaster 2009, p. 12). Lewin proposes no changes. References Alvarado, K., Lee R. (2006) Christoffersen, E., Fram, N., Boblin, S. Poole, N., et al.The transfer of responsibility: The Transformation of the shift change to improve patient safety. Health Quarterly, Special Issue, 75-79.(2007) American College of Obstetrics and Gynecology. Committee on Patient Safety and to improve the quality. Apker, J., Mallak, LA and Gibson, CS (2007). Communication in the "gray zone" Perceptions of transfers of Emergency Physicians hospitalist and patient safety. Academic Emergency Medicine, 14 (10), 884-894. Arora, V., Johnson, J., Lovinger, D., Humphrey, HJ and Meltzer, DO (2005).Communication problems in patients logoff and suggestions: Quality and Safety in Health Care, 14 (6), 401-407. Nurses Association (2007). Perioperative patient "hand-off Toolkit. PracticeResources. Australian Council for Safety and Quality in Health Care. (2005). Clinical transfer Patient Safety: literature review. Retrieved November 6th. publishing.nsf/Content/AA1369AD4AC5 Keast, S. (2007). Improving the care-layer toshift Report. Journal of Nursing Care Quality, 22 (1), 80-84. Cosby, K. (2005). A conceptual framework for evaluate the safety of the transitions in emergency care.AHRQ Publication No. 050021 Pothier, DD (2007). experimental Comparison transfer methods. Annals of the Royal College of Surgeons England, 89 (3), 298-300. Prakash, R. (2005). A description of the process of transferring an Australian public hospital. Australian Health Review, 29 (1), 68-79. British Medical Association Medical Youth Committee. (2004). Transfer of security: security advise patients in clinical remission for doctors and managers. London UK: National Patient Safety Agency for NHS Boult, C. (2007). Improve the quality of transitional care for people complex care. Journal of the American Geriatrics Society, 51 (4), 556- 557th Currie, J. (2008). To improve the efficiency of the transfer of patients. Emergency Nurse, 10 (3). Dowding, D. (2001). capacity planning of care. Journal of Advanced Nursing, 33 (6), 36-846. Nagamine,J. (2006). The transition of care for hospitalized elderly patients - developmental checklist for medical discharge from the hospital. Journal of Hospital Medicine, 1,6 Read More